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PMHNP BOARDS TEST QUESTIONS - QUESTIONS AND CORRECT DETAILED ANSWERS

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PMHNP BOARDS TEST QUESTIONS - QUESTIONS AND CORRECT DETAILED ANSWERS

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PMHNP BOARDS TEST QUESTIONS 2024-2025 -

QUESTIONS AND CORRECT DETAILED ANSWERS

A 14-year-old patient has nonspecific complaints about pain in his or her legs. The
physical examination is unremarkable. Laboratory results are within normal limits
except for a markedly elevated alkaline phosphatase level. The psychiatric-mental
health nurse practitioner

Ans: interprets the findings as normally occurring during a rapid adolescent growth
spurt

Quiz Laboratory findings for a patient with an alcohol use disorder indicate increased
liver function values and:

Ans: increased MCV and elevated triglyceride levels.

Quiz A new patient arrives at the office for treatment for depression. The patient
reports taking simvastatin (Zocor) and lisinopril (Zestril). When selecting an
antidepressant, the psychiatric-mental health nurse practitioner eliminates fluoxetine
(Prozac), based on the knowledge that the combination can lead to increased
plasma levels of the statin, resulting in an increased risk of muscle damage and
rhabdomyolysis. The nurse practitioner's reason is that:

Ans: one medication is a CYP450 3A4 substrate and one is a CYP450 3A4
inhibitor.

Quiz A 28-year-old patient who is psychotic arrives at the clinic with family members
but refuses to meet if the family members are present. The psychiatric-mental health
nurse practitioner

, Ans: asks the family members to leave for the appointment.

Quiz The psychiatric-mental health nurse practitioner is responsible for initiating
quality improvement at a community mental health clinic. The effective strategy for
evaluating the clinic's services is to:

Ans: use a survey to elicit patient satisfaction responses.

Quiz The psychiatric-mental health nurse practitioner evaluates a new adult patient
via telemedicine. The patient has questions about a new medication that he or she
recently started. The nurse practitioner decides to provide psychoeducation and to:

Ans: e-mail drug information and resources

Quiz Any court of law that evaluates the standards of care provided by a psychiatric-
mental health nurse practitioner

Ans: considers what a reasonably prudent health care provider would do.

Quiz The psychiatric-mental health nurse practitioner and a team of local mental
health professionals are asked to provide crisis counseling service, after a gunman
recently took a class hostage at a local elementary school, wounded several
students, and then shot himself. In preparing for this assignment, the nurse
practitioner recognizes that:

Ans: a child's developmental stage will influence his or her response to catastrophic
stress

Quiz Which community-based program is a tertiary level intervention?

Ans: Partial hospitalization program that provides intensive group therapy for
rehabilitation.

Quiz A 32-year-old female patient informs the psychiatric-mental health nurse
practitioner that she is three months pregnant. She has been stable on fluoxetine
(Prozac) for the last two years. The patient asks whether she may safely continue
this medication during her pregnancy. The nurse practitioner responds:

Ans: "Let's review the risks and benefits of continuing or discontinuing Prozac for
you and your baby."

Quiz Established clinical guidelines suggest that suicidality is decreased by treating
patients who have borderline personality disorder with:

Ans: dialectical behavioral therapy.

Quiz A six-year-old patient with autistic spectrum disorder has not responded to six
months of psychosocial interventions and continues to demonstrate aggressive

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